Claim Benefit Specialist-Medical Reviewer
Clinical Careers Page(1 month ago)
About this role
A Medical Records Reviewer at CVS Health supports claims adjudication by reviewing and verifying medical documentation and policy coverage to ensure accurate processing of medical and final expense claims. The role contributes to efficient claims handling through knowledge of medical records, team processes, and company health solutions operations.
Required Skills
- Medical Records
- Policy Verification
- Documentation
- Medical Coding
- MS Word
- Excel
- Analytical Skills
- Decision Making
- Communication
Qualifications
- HS Diploma or equivalent
About Clinical Careers Page
cvshealth.comCVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.
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